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'Physical Factors Affecting Use of Hearing Aids'
Pages 6-17

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From page 6...
... In those cases where the family suffers from strong guilt TABLE II: CAUSE OF HEARING LOSS AS GIVEN IN CASE HISTORY REPORT Distribution of Causes According to Users and Non-Users of Aid Using Aid Not Using Aid Focalized infections Mastoiditis .
From page 7...
... The data indicate that the children using hearing aids enjoyed bet­ ter health, on the average, than the group who were not using
From page 8...
... Fifty-six per cent of the aid users spoke with relatively few perceptible speech defects, while 44 per cent had marked speech defects. All had had speech instruction at some time and many were still at­ tending speech clinics either in their own schools or at the New York League for the Hard of Hearing.
From page 9...
... In those cases susceptible to weather changes, the children reported that they merely turned up the volume of their aids when their hearing diminished, and thus compensated for any additional loss. TABLE III: USE OF HEARING AID AS RELATED TO PER CENT OF HEARING LOSS Per Cent of Hearing Loss for Each Subject 5*
From page 10...
... She could hear sounds of music and singing, but could not understand speech. She thought that she did not do as well in school as children with normal hearing, but she frankly admitted that she was unable to judge her own intellectual capacities.
From page 11...
... Three children, however, with losses as severe as those of the group mentioned above, were not making as advantageous use of their aids even though they, too, felt the need for them. In two cases the parents, because they feared public opinion, would not allow their children to wear aids outside of school hours, and the third child refused to wear an aid as a form of rebellion against his parents.
From page 12...
... For the ado­ lescent girl, any deviation in appearance which sets her unfavorably apart from other girls or prevents her from looking and acting in keeping with accepted standards of attractiveness, or which makes boys avoid her, will be considered a potential hazard. For the ado­ · lescent boy, the need _for looking masculine and for doing things having prestige value among other boys, as well as wanting to be popular with girls, is of primary importance.
From page 13...
... Their mothers re­ ported that the girls were especially sensitive about the protrusion of the microphone at a time when they were beginning to show development of the breasts. In these girls, the normal self-con­ sciousness caused by physical maturation was increased to such an extent by wearing hearing aids that they preferred to get along without an instrument rather than be conspicuous.
From page 14...
... To summarize, sex differences are evident in the decision of ado­ lescent boys and girls to wear hearing aids, since approximately 50 per cent of the girls had rejected their aids as compared with 1 9 per cent o f the boys. A contributory factor influencing the girls is their adolescent drive to look like all other girls.
From page 15...
... It is of importance to observe that even though physical discomfort was described by both the parents and the children as a deterrent to wearing the aid, not one subject directly attributed his failure to wear it to this cause. Al­ though the children were conscious of the physical difficulties that wearing aids entailed, such reasons apparently bore little weight in influencing their decisions to wear them permanently.
From page 16...
... It is significant, however, that the initial discomforts subsided within a maximum period of three months, followed by a progressive rise in physical adjustment to the aids. During this period the parents were instrumental in facil­ itating and overcoming the physical difficulties.
From page 17...
... This does not mean, however, that attention should not be given to improving the physical _features of hearing aids and im­ proving the character and availability of information about the best possible physical adjustment to them. In many instances, bet­ ter information and guidance might have greatly reduced the dis­ comforts of the introductory stages of aid wearing.


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